The study will assess the effectiveness and cost-effectiveness of providing brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems. The goals of the intervention are to support patients' transition to community-based health and social services and supports - including primary and urgent psychiatric care, peer support and other community services and supports - so as to improve patient wellbeing and reduce avoidable ED visits and hospitalizations.

Participants will receive brief, intensive case management to connect them to health and social services and supports in the community

Active Comparator: Counseling and Resource Education (CARE)

Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services

Behavioral: Counseling and Resource Education

Participants will receive usual care as well as an educational session and resource guide outlining community-based services

Eligibility

Genders Eligible for Study:

Both

Accepts Healthy Volunteers:

No

Criteria

Inclusion Criteria:

legal adult status (age 18)

able to give informed consent

have made 5+ visits to participating hospital Emergency Department in the previous 12 months

One of these visits will have been for a mental health and/or addiction problem.

Exclusion Criteria:

-

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study.
To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01622244